Reflective Account of ....
Introduction
I am a registered and specialized trained Assistant Medical Officer (AMO) at Emergency and Trauma Department (ED). I have been working in the Government Hospital for fourteen years. In addition I am also working together other with twenty AMO’s, ten registered staff nurses and seventeen nursing aid in this department. In Malaysia AMO plays a major role in early diagnosis and treatment of patient whereby they are assign in hospital and clinics. AMO working in the ED are competent in the provision of emergency cares and function as the main front liner care provider that includes provision of emergency treatment, stabilization, definitive care and function as an important component of the Trauma Team (Ministry of Health Malaysia (MOH), 2005).
ED function as a core business at government hospitals, it plays a crucial role in the emergency treatment of patients. In addition the department also plays a role in pre hospital care, call center and training services to all staff at the hospital. The South African Constitution (1996) provides that ‘No one may be refused emergency medical treatment’. In Malaysia, although the ED exists to deal with cases of emergency and trauma, but functions as outpatient department (to treat cold cases) which is still there, especially after office hours or public holidays. Sometimes we overlook the simple case where inaccurate treatment can invite to suffering for the patients. When this happens it increases the workload of the staff in the unit. There are many procedures at ED such as Intubation of patient, Cardio Pulmonary Resuscitation (CPR), Continues Bladder Drainage (CBD), Chest Tube Insertion, Incision and Drainage (I&D), Toilet and Sutures (T&S) etc.
I acknowledge that my practice may not always be evidence based and lack of understanding of the wound infection from T&S procedure. I do fully realize that as a health care professional, I have a duty of care for every patient (Nursing & Midwifery Council, 2004).
I am a registered and specialized trained Assistant Medical Officer (AMO) at Emergency and Trauma Department (ED). I have been working in the Government Hospital for fourteen years. In addition I am also working together other with twenty AMO’s, ten registered staff nurses and seventeen nursing aid in this department. In Malaysia AMO plays a major role in early diagnosis and treatment of patient whereby they are assign in hospital and clinics. AMO working in the ED are competent in the provision of emergency cares and function as the main front liner care provider that includes provision of emergency treatment, stabilization, definitive care and function as an important component of the Trauma Team (Ministry of Health Malaysia (MOH), 2005).
ED function as a core business at government hospitals, it plays a crucial role in the emergency treatment of patients. In addition the department also plays a role in pre hospital care, call center and training services to all staff at the hospital. The South African Constitution (1996) provides that ‘No one may be refused emergency medical treatment’. In Malaysia, although the ED exists to deal with cases of emergency and trauma, but functions as outpatient department (to treat cold cases) which is still there, especially after office hours or public holidays. Sometimes we overlook the simple case where inaccurate treatment can invite to suffering for the patients. When this happens it increases the workload of the staff in the unit. There are many procedures at ED such as Intubation of patient, Cardio Pulmonary Resuscitation (CPR), Continues Bladder Drainage (CBD), Chest Tube Insertion, Incision and Drainage (I&D), Toilet and Sutures (T&S) etc.
I acknowledge that my practice may not always be evidence based and lack of understanding of the wound infection from T&S procedure. I do fully realize that as a health care professional, I have a duty of care for every patient (Nursing & Midwifery Council, 2004).